Active NPI
Abbas Agha MD PLLC
- Interventional Cardiology Physician
- Cleveland, TN
National Provider Identifier
1093322141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- Legal business name
- ABBAS AGHA MD PLLC
- Practice address
- 2292 Chambliss Ave NW Ste F
Cleveland, TN 37311-3862 - Phone
- (423) 641-4261
- Fax
- (877) 370-2529
- NPI assigned
- Sep 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Syed A. Abbas, MD
- Title
- Owner
- Phone
- (603) 667-8912
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | Primary |
Addresses
Primary practice location
2292 Chambliss Ave NW Ste F
Cleveland, TN 37311-3862
Mailing address
2292 Chambliss Ave NW Ste F
Cleveland, TN 37311-3862
Phone (423) 641-4261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221222002062 | TN | Part B Supplier - Clinic/Group Practice | 8325418932 |
Receives reassigned benefits from 5 practitioners Practice locations: Cleveland, TN |
National Provider Directory
National Provider DirectoryLocations
2205 McCallie Ave
Ste 501C
Chattanooga, TN 37404
2412 McCallie Ave
Chattanooga, TN 37404
Phone (423) 698-0221
2292 Chambliss Ave NW
Ste F
Cleveland, TN 37311
Phone (423) 641-4261
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Cleveland, TN
- NPI 1164420741
Interventional Cardiology, TN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673481600000",
"number": "1093322141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2292 CHAMBLISS AVE NW STE F",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373113862",
"telephone_number": "423-641-4261",
"fax_number": "877-370-2529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2292 CHAMBLISS AVE NW STE F",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373113862",
"telephone_number": "423-641-4261",
"fax_number": "877-370-2529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABBAS AGHA MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-23",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A",
"authorized_official_last_name": "ABBAS",
"authorized_official_first_name": "SYED",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "603-667-8912",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.